How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $181.97 | Facility | None | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | None (both parts) | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | 26 · Professional part | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | TC · Technical part | $61.66 | $61.66 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $151.36 | $151.36 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $93.33 | $93.33 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | TC · Technical part | $57.54 | $57.54 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $141.25 | $141.25 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $138.04 | Professional | 26 · Professional part | $85.11 | $85.11 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $53.70 | $57.54 | $85.11 |
Hometown Health Setting Professional Modifier None Typical Low $0.72 Median $89.13 Typical High $123.03 | Professional | None | $0.72 | $89.13 | $123.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.44 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $0.44 | $100.00 | $144.54 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.28 Median $8.91 Typical High $12.59 | Professional | TC · Technical part | $0.28 | $8.91 | $12.59 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $4,265.80 | Facility | None | $114.82 | $114.82 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $97.72 | $107.15 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $128.82 | $181.97 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $112.20 | Professional | 26 · Professional part | $77.62 | $104.71 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $51.29 | $74.13 | $83.18 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | 53 · Discontinued | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | FX · Film X-ray | $131.83 | $131.83 | $144.54 |
Where Nevada sits
The same service costs 4.2 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nevada· 48th of 51
$151
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.